Marianne, I would encourage you  to read all of the NCCA Standards, as a
matter of course, but you figured out the pertinent part:  there is nothing
in the NCCA Standards about what sorts of consents are required before a
mother can be seen by an IBCLC, and whether a report of that consultation
must be sent to the doctor.

My point is that the requirements we are given by IBLCE in the IBLCE Code
of Professional Conduct have noting to do with where IBLCE has its
headquarters, and the laws or customs of that country (the USA).  IBLCE is
an international organization, with offices in Australia and Austria.  5 of
its 14 Board members are from outside the USA.

Whatever professional standards we are held to are a function of what our
certifying organization has declared, meeting NCCA Standards in the
process.  NCCA looks to the protection of the health, safety and welfare of
the public.  That can manifest itself in any manner of ways, and different
practice customs cn, and do, arise in different countries.

Nancy Wight put it very nicely in another post in today's digest:
"We  should all be talking with each other as a team for the patient's
benefit.   In the USA, the leader of the team and coordinator of care,
meds, etc. is the  physician."

The IBLCE CPC at 2.2 says that the IBCLC **SHALL** "Collaborate with other
members of the healthcare team to provide unified and comprehensive care."
IBLCE CPC at 4.1 says that the IBCLC **SHALL** "Receive a client's consent,
before initiating a consultation, to share clinical information with other
members of the client's healthcare team."

It is pretty clear to me what I have to do as an IBCLC.


-- 
Liz Brooks JD IBCLC FILCA
Wyndmoor, PA, USA

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